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Updated: Aug 4, 2026
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Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
Published on: March 10, 2023
[Toward zero mortality in liver resection. Presentation of 200 consecutive cases]
Ricardo Robles1, Caridad Marín, Juan Angel Fernández
1Servicio de Cirugía, Hospital Universitario Virgen de la Arrixaca, El Palmar, Murcia, Spain. rirocam@um.es
Cirugia Espanola
|January 20, 2006
Summary
Liver resections (LRs) can achieve zero mortality and low morbidity. Avoiding blood transfusions and biliary complications is key to improving patient outcomes in liver surgery.
Area of Science:
- Hepatobiliary Surgery
- Surgical Oncology
- Gastroenterology
Context:
- Liver resection (LR) morbidity and mortality rates have significantly decreased in recent decades.
- Surgical advancements have made complex liver procedures safer.
- Understanding factors influencing complications is crucial for further improvement.
Purpose:
- To present a series of 200 liver resections performed without mortality.
- To analyze factors associated with postoperative complications after liver resection.
- To identify strategies for reducing morbidity in liver surgery.
Summary:
- A retrospective analysis of 200 liver resections (LRs) in 177 patients between 1996 and 2003.
- No postoperative mortality was observed; morbidity was 17.5%, with biliary complications being the most frequent (8%).
- Postoperative morbidity was significantly associated with the need for blood transfusion, which was higher in major resections and prolonged operations.
Impact:
- Demonstrates the feasibility of achieving zero mortality in liver resections.
- Highlights the importance of minimizing blood transfusions and biliary complications to reduce surgical morbidity.
- Provides evidence-based insights for optimizing liver resection protocols and patient care.
